Responsible for editing and/or reviewing captured charges and medical documentation to determine appropriate CPT/ICD-10/HCPCS codes and modifiers for E&M and small procedure services rendered in the office and/or hospital setting for physician.
Responsible for review outpatient and inpatient procedures reports, abstracting appropriate procedure does and entering charges into EMR.
Responsible for communicating documentation discrepancies with coding support staff and coding supervisor.
Responsible for creating patient charts and entering demographics and insurance in EMR when applicable.
Verify data entry of patient’s demographics, insurance, and hospital charges are entered correctly.
Accurately enter and attach insurance and authorizations to patient’s encounter in EMR
Serve as a coding resource and assist with coding questions as needed.
Assist coding supervisor with escalated coding questions from team members and physician practices.
Maintain an accuracy rate of 90% or above for all work Quality Assurance reviews.
Complete assigned work in a timely manager and maintain departmental production standards.
Maintain open communication with Coding Team and Coding Supervisor.
What You Will Need:
High school diploma or equivalent.
2 or more years of experience in physician based billing/coding for both E&M (outpatient/inpatient) and surgical procedures.
Licensure or Certification Required:
At least one of the following coding certifications:
Certified Professional Coder (CPC) or Certified Professional Coder Apprentice (CPC-A) if less than two years of professional coding experience
Certified Coding Specialist – Physician (CCS-P)
Registered Health Information Technician (RHIT)
Certified Billing and Coding Specialist (CBCS)
AHS coders will review physician’s documentation and assign the proper CPT, ICD-10, HCPCS codes and modifiers for services rendered in the office and/or hospital setting. AHS coders also will work on previously coded items and make corrections based on current coding guidelines for charges needing edits, reviews, and denials needing recoding.
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